A school-age child with hemophilia falls on the playground and goes to the nurse's office with superficial bleeding above the knee. Which action by the nurse is the most appropriate?
1. Apply a warm, moist pack to the area.
2. Perform some passive range of motion to the affected leg.
3. Apply pressure to the area for at least 15 minutes.
4. Keep the affected extremity in a dependent position.
Correct Answer: 3
Rationale: If a hemophiliac child experiences a bleeding episode, superficial bleeding should be controlled by applying pressure to the area for at least 15 minutes. Ice should be applied, not heat. The extremity should be immobilized and elevated, so passive range of motion and keeping the extremity in a dependent position would not be appropriate interventions at this time.
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